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813-780-0020 City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> � J <br /> Date Received Phone Contact fo Permitting -- <br /> Owner's Name �C( Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���� � � LOY# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONS7R e ADD/AL Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �( G, C' r�'� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ ���(� AMP SERVIC 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �'�� <br /> � 1S <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q . SPECIA � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN CO PANY 9 � i�� �� /�/G <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � CO PANY <br /> SIGNATUI2E REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PANY - <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for su divisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Perm(t for new construction. <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW construc lon. <br />' Directfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notar(zed <br /> If over E2500,a Notice of Commencement is requlred. (A/C upgr des over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the ovmer)would b someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences lot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />